Health Policy. 2008 Sep;87(3):296-308. Epub 2008 Mar 5.

Improving public addiction treatment through performance contracting: the Delaware experiment.

McLellan AT, Kemp J, Brooks A, Carise D.

Source

Treatment Research Institute, 600 Public Ledger Building, 150 South Independence Mall West, Philadelphia, PA 19106-3475, USA. tmclellan@tresearch.org

Abstract

In fiscal 2002, Delaware replaced traditional cost-reimbursement contracts with performance-based contracts for all outpatient addiction treatment programs. Incentives included 90% capacity utilization and active patient participation in treatment. One of the programs failed to meet requirements. Strategies adopted by successful programs included extended hours of operation, facility enhancements, salary incentives for counselors, and two evidence-based therapies (MI and CBT). Average capacity utilization from 2001 to 2006 went from 54% to 95%; and the average proportion of patients' meeting participation requirements went from 53% to 70%--with no notable changes in the patient population. We conclude that properly designed, program-based contract incentives are feasible to apply, welcomed by programs and may help set the financial conditions necessary to implement other evidence-based clinical efforts; toward the overall goal of improving addiction treatment.

PMID:: 18325621; [PubMed - indexed for MEDLINE]
PMCID:: PMC2736056

Free PMC Article

Images from this publication.See all images (2) Free text

Publication Types, MeSH Terms, Grant Support

Publication Types

MeSH Terms

Grant Support

LinkOut - more resources

Full Text Sources

Other Literature Sources

Labome Researcher Resource - ExactAntigen/Labome

Medical

Supplemental Content

Save items

Related citations in PubMed

Selection incentives in a performance-based contracting system. [Health Serv Res. 2003]
Selection incentives in a performance-based contracting system.
Shen Y. Health Serv Res. 2003 Apr; 38(2):535-52.
Selective contracting in managed care: the case of substance abuse treatment. [Med Care Res Rev. 2001]
Selective contracting in managed care: the case of substance abuse treatment.
Lemak CH, Alexander JA, D'Aunno TA. Med Care Res Rev. 2001 Dec; 58(4):455-81.
Performance contracting for substance abuse treatment. [Health Serv Res. 1997]
Performance contracting for substance abuse treatment.
Commons M, McGuire TG, Riordan MH. Health Serv Res. 1997 Dec; 32(5):631-50.
Review Penetrating the "black box": financial incentives for enhancing the quality of physician services. [Med Care Res Rev. 2004]
Review Penetrating the "black box": financial incentives for enhancing the quality of physician services.
Conrad DA, Christianson JB. Med Care Res Rev. 2004 Sep; 61(3 Suppl):37S-68S.
Review Financing strategies for drug abuse treatment programs. [J Subst Abuse Treat. 1995]
Review Financing strategies for drug abuse treatment programs.
Zarkin GA, Galinis DN, French MT, Fountain DL, Ingram PW, Guyett JA. J Subst Abuse Treat. 1995 Nov-Dec; 12(6):385-99.

See reviews... See all...

Cited by 7 PubMed Central articles

Linking early brain and biological development to psychiatry: introduction and symposia review. [J Can Acad Child Adolesc Psych...]
Linking early brain and biological development to psychiatry: introduction and symposia review.
Attridge M, Ghali L. J Can Acad Child Adolesc Psychiatry. 2011 Nov; 20(4):253-64.
Advancing performance measures for use of medications in substance abuse treatment. [J Subst Abuse Treat. 2011]
Advancing performance measures for use of medications in substance abuse treatment.
Thomas CP, Garnick DW, Horgan CM, McCorry F, Gmyrek A, Chalk M, Gastfriend DR, Rinaldo SG, Albright J, Capoccia VA, et al. J Subst Abuse Treat. 2011 Jan; 40(1):35-43. Epub 2010 Oct 8.
Review Access to treatment for adolescents with substance use and co-occurring disorders: challenges and opportunities. [J Am Acad Child Adolesc Psychi...]
Review Access to treatment for adolescents with substance use and co-occurring disorders: challenges and opportunities.
Sterling S, Weisner C, Hinman A, Parthasarathy S. J Am Acad Child Adolesc Psychiatry. 2010 Jul; 49(7):637-46; quiz 725-6. Epub 2010 May 8.

See all...

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
References for this PMC Article
Citation referenced in PubMed article. Only valid for PubMed citations that are also in PMC.
Free in PMC
Free full text articles in PMC
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.

Recent activity

Clear Turn Off Turn On

Improving public addiction treatment through performance contracting: the Delawa...
Improving public addiction treatment through performance contracting: the Delaware experiment.
Health Policy. 2008 Sep ;87(3):296-308. Epub 2008 Mar 5 .

PubMed
Exchange of the fluorescence-labeled 20,000-dalton light chain of smooth muscle ...
Exchange of the fluorescence-labeled 20,000-dalton light chain of smooth muscle myosin.
Biochemistry. 1991 Oct 1 ;30(39):9539-45.

PubMed
The 24-h distribution of falls and person-hours of physical activity in the home...
The 24-h distribution of falls and person-hours of physical activity in the home are strongly associated among community-dwelling older persons.
Prev Med. 2008 Jun ;46(6):605-8. Epub 2008 Feb 9 .

PubMed
After daily bingeing on a sucrose solution, food deprivation induces anxiety and...
After daily bingeing on a sucrose solution, food deprivation induces anxiety and accumbens dopamine/acetylcholine imbalance.
Physiol Behav. 2008 Jun 9 ;94(3):309-15. Epub 2008 Jan 16 .

PubMed
Utility of optic nerve ultrasonography in head injury.
Utility of optic nerve ultrasonography in head injury.
Injury. 2008 May ;39(5):519-24. Epub 2008 Mar 5 .

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Result Filters

Display Settings:

Send to: